
NEWS
October 2025
1. Do not resuscitate (DNR) emergency medical services (EMS) protocol variation in the United States. Breyre A, Merkle-Scotland E, Yang D, et al. Amer J Emerg Med 2025;97:123-128.
2. Should Anything Else be done Besides Prehospital Cardiopulmonary Resuscitation (CPR)? The Role of CPR and Prehospital Interventions After Traumatic Cardiac Arrest. McWilliam SE, Bach JP, Wilson KM, et al. J Emerg Med 2025;75:289–295.
3. Tranexamic acid in trauma: A joint position statement and resource document of NAEMSP, ACEP, and ACS-COT. Barrett WJ, Kaucher KA, Orpet RE, et al. J Trauma Acute Care Surg. 2025;99:357–363




Command and Control: The First Minutes of a Hostile Event
Irrefutable evidence displays the need of medical personnel to enter hostile environments as quickly as possible to render trauma care. Yet, amidst all these procedural changes and additions of equipment, one fact of the matter still remains: victim survivability is dependent on time-to-intelligent-medical intervention, and time-to-intelligent-medical intervention is dependent on command and control.
No matter how expensive your equipment is, how fast your apparatus can go, or how much protection your ballistic vests might provide, the way first responders are commanded and controlled in a deliberate manner at hostile events will seal the fate for many of the victims.
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